Spontaneous Cholecystocutaneous Fistula Research Articles

Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

No abstract available

Spontaneous cholecystocutaneous fistula in a dog

The object of this case is to describe a cholecystocutaneous fistula in a 10-year-old dog, with an unusual localization. The dog presented a small, well-circumscribed subcutaneous mass culminating in a draining fistula adjacent to the umbilicus, of 2 months’ duration. Ultrasonography and computed tomography revealed a cholecystocutaneous fistula, originating from a ruptured gallbladder secondary to necrotizing cholecystitis; cholecystectomy was curative. Un cas de fistule biliaire externe spontanée de localisation originale chez une chienne de 10 ans est rapporté. Un granulome inflammatoire associé à un écoulement était visible sur la peau du chien en région abdominale depuis 2 mois. Les examens d’imagerie (échographie et scanner) ont mis en évidence une fistule d’origine biliaire, liée à une rupture de la vésicule biliaire secondaire à une cholécystite nécrosante et suppurée chronique. Une chirurgie de cholécystectomie et de lobectomie hépatique partielle, ainsi qu’une prise en charge médicochirurgicale de la péritonite, ont permis une guérison complète du chien.

Spontaneous cholecystocutaneous fistula as the presenting manifestation of IgG4-related disease

A 79-year-old woman with an unremarkable past medical history presented to the outpatient surgery clinic with a 30-day history of dull abdominal pain. She had noticed a skin orifice in the supraumbilical region discharging a yellowish serous material. Ultrasound showed findings of chronic cholelithiasis. An x-ray fistulogram disclosed a 3.9-inch-long fistulous tract from the skin to the gallbladder (Fig 1) confirming the diagnosis of spontaneous cholecystocutaneous fistula. An abdominal CT showed diffuse and smooth thickening of the gallbladder wall with multiple calcified gallstones.

Spontaneous Cholecystocutaneous Fistula in a Case of Adenocarcinoma of Gall Bladder

Spontaneous Cholecystocutaneous Fistula in a Case of Adenocarcinoma of Gall Bladder

Cholecystocutaneous Fistula Associated with Necrotizing Fasciitis of the Abdominal Wall: A Case Report

Cholecystocutaneous fistula represents an extremely rare complication of calculous cholecystopathy. In the past 50 years, less than 50 cases have been reported. The most frequent site of spontaneous cholecystocutaneous fistula is the right hypochondrium, followed by the left hypochondrium, periumbilical, right lumbar, right iliac fossa and gluteal areas. The association with necrotizing fasciitis that represents a serious infection, characterized by extensive and rapidly progressive necrosis, affecting the subcutaneous plane and reaching the muscular fascia provides a high mortality rate and extensive procedures are required. Herein we present a case of a 64-years-old, female, admitted to the emergency department with complaint of diffuse, severe abdominal pain, associated with a tense and painful lesion in the abdominal wall with the diagnose of cholecystocutaneous fistula associated with necrotizing fasciitis that despite an aggressive surgical approach developed a multisystem failure and died 24 hours after admission.

A Spontaneous Cholecystocutaneous Fistula Case and Its Management

Objective: Spontaneous cholecystocutaneous fistula is a rare complication of chronic calculous cholecystitis because currently gallstones are diagnosed and treated at an early stage. This occurrence is possible even if it seems actually to be rare. Case Report: We report the case of a 62-year-old woman admitted to the Emergency Department with right hypochondrium pain, weakness. On physical examination, she had fever and discomfort of the upper right abdominal quadrant. Ultrasonography and Computed tomography scans revealed cholecystitis findings with the formation of an abscess. Percutan drainage of the purulent collection was carried out under ultrasound guidance. Cholecystectomy was performed after the patient's comorbid diseases were under controlled. Conclusion: Owing to early diagnosis and treatment of gallbladder diseases, this condition is rarely seen nowadays. We conclude that percutaneous drainage is a safe and less stressful management technique, especially for elderly patients with co-morbidities before Cholecystectomy.

Cholecystocutaneous fistula occurring through the chest wall

Background: Spontaneous cholecystocutaneous fistula (SCCF) is nowadays a very rare entity. The treatment consists in broad-spectrum antibiotics, drainage of subcutaneous abscess if present, and cholecystectomy in fit patients.It usually occurs through the abdominal wall. We describe a rare case of cholecystocutaneous fistula occurring through the chest wall. Methods: A 68 year-old female patient was referred with a right anterior chest wall abscess. The patient had a history of obesity and schizophrenia. Following skin incision, a large amount of yellowish and purulent discharge was obtained from the abscess. CT-scan showed a communication between the gallbladder and a subcutaneous collection of the right anterior chest wall containing a 5 x 2 cm gallstone. The large stone was retrieved from the chest wall and the fistulous tract was tutorized with a Foley catheter ending into the gallbladder as confirmed by intraoperative fistulogram. An obstructive CBD stone was also visualized and therefore the patient underwent an ERCP and the foley catheter was removed posteriorly. Results: The patient was discharged and 6 weeks later received a laparoscopic cholecystectomy. The postoperative course was uneventful. Histology of the gallbladder did not show malignancy. Conclusion: SCCF is a rare entity and extrabdominal cutaneous tract is even rarer. If a good drainage can be achieved, delayed laparoscopic cholecystectomy can be safely performed. Presence of gallstones along the tract should always be ruled out.

Consequences of gallbladder inflammation: spontaneous cholecystocutaneous fistula: a case report

One of the most unusual complications in gall bladder disease is spontaneous cholecystocutaneous fistula (SCF), which has only been reported a few times in the literature. We report the case of a 67-year-old man who presented with a right hypochondrium discharging sinus. Identification of a cholecystocutaneous fistula was made by computed tomography with contrast media, followed by MRCP. This confirmed the presence of a fistulous pathway between the gallbladder and the skin. The patient underwent exploratory laparotomy with subtotal cholecystectomy with en block aponeurotic muscle, skin and fistula orifice excision.

Cholecystitis with Spontaneous Cholecysto-Cutaneous Fistula

Background An external biliary fistula is a rare complication of gallstone disease. We present a case of cholecystocutaneous fistula successfully treated with excision and cholecystectomy. Case outline An 87-year old woman presented to the emergency department with an abdominal inflammatory mass in the right flank increasing for 15 days. Results Physical examination revealed signs of decompensated heart failure associated with hypothermia. Abdominal ultrasound showed a fluid collection in the right abdominal wall evaluated to 15x13x6 cm containing air bubbles and a stone. Discussion This condition is never seen today because of the bigger availableness of computerized axial tomography confirmed associate symptom within the paries containing a three cm stone ad lib exhausted from the vesica. The symptom and therefore the stone were exhausted with a body covering incision concerning the symptom below anesthesia.

Case Report: Spontaneous cholecystocutaneous fistula, a rare cholethiasis complication.

One of the most unusual complications in cholethiasis is spontaneous cholecystocutaneous fistula, which has only been reported a few times in the literature. We report the case of a 76 year old man who presented with a right hypochondrium subcutaneous abscess, with pain evoked through palpation. No comorbidity in the patient's medical history were noted. Confirmation of cholecystocutaneous fistula was made using the proper diagnostic process, which is computed tomography with contrast media, followed by hepatobiliary MRI. This confirmed the presence of a fistulous pathway between the gallbladder and the skin. The patient underwent cholecystectomy surgery and open laparotomy with en block aponeurotic muscle, skin and fistula orifice excision.

Spontaneous Cholecystocutaneous Fistula

ABSTRACT Spontaneous biliary fistulae are encountered, not very rarely, in one's surgical practice. These fistulae are of three types: Internal, external, and combined. Internal spontaneous biliary fistulae are the commonest. External fistulae could be spontaneous or because of therapeutic, iatrogenic, or traumatic reasons are extremely rare. Spontaneous cholecystocutaneous fistula (SCCF), secondary to calculous cholecystitis, is an extremely rare presentation in the present-day scenario. It used to be quite common before the year 1900, but is very rare now because of better management of cholecystitis and cholelithiasis. Usually, SCCF is a complication of neglected chronic cholelithiasis. This is seldom seen today because of the early diagnosis and better management made feasible by ultrasound as first-line investigation, broad spectrum antibiotics, and effective surgical management of biliary tract diseases. It is a very rare case of 35-year-old female patient presenting in the outpatient department, with the multiple stones carefully preserved, which she had been extruding through the fistulous opening in the umbilicus, for the last 1 year. She was investigated and was operated for the same condition. Though the entity is very rare, clinicians should keep this condition in mind while examining any case of chronic discharging sinus or fistula on the abdominal wall, particularly the wound extruding stones in which case the diagnosis is selfrevealing. In the absence of positive history of expelling stones, the diagnosis can be confirmed by computerized tomogram fistulography. Though the early diagnosis and improvement in the management of gallbladder disease has improved tremendously, the possibility of this condition arising mostly from the neglected gallbladder disease should always be kept in mind as such cases are again being reported from all over the world. How to cite this article Abbey R. Spontaneous Cholecystocutaneous Fistula. Int J Adv Integ Med Sci 2016; 1(4):196-198.

Spontaneous cholecystocutaneous fistula

Abstract Background Spontaneous cholecystocutaneous fistula is defined as a gallbladder communication with the external environment through the abdominal wall rupture. The first reports were written in the seventeenth century by Thilesus. During the past 50 years, 25 cases have been reported. Clinical case The case is presented of a 30-year-old woman, who had a five-year history of biliary colic. Six months prior to her medical assessment there was a leak of biliary material and gallstones spontaneously in the right upper quadrant. Fistulogram was performed with no evidence of obstruction. A cholecystectomy and resection of the fistula was subsequently performed. Discussion The biliary fistulas are an abnormal communication from the gallbladder into another surface. It is a rare condition nowadays, as it only occurs in 10% of patients with gallbladder lithiasis. Although the clinical signs of spontaneous cholecystocutaneous fistula clinic are more than evident, it is imperative to perform studies like ultrasound, tomography, and a fistulogram. The mainstay of treatment is cholecystectomy, resection of the fistula, and repair of abdominal wall defect. Conclusion The incidence of cholecystocutaneous fistula today is minimal and it seems that the current trend is to become an entity anecdotal. The subcostal abdominal examination approach remains as the first choice. The laparoscopic approach is an option reserved for the experienced surgeon.

Spontaneous Cholecystocutaneous Fistula of Anterior Abdominal Wall with Subcutaneous Gallstones: About a Rare Case and Review of the Literature

Spontaneous cholecystocutaneous fistula is a rare complication of chronic calculous cholecystitis, because currently gallstones are diagnosed and treated at an early stage. This occurrence is possible even if it seems actually to be rare. We report a case of spontaneous cholecystocutaneous fistula of Anterior Abdominal Wall with subcutaneous gallstones admitted in the medical oncology unit of HASSAN II University Hospital. An 64-year-old woman, presented with a large subcutaneous abscess in the right subcostal area with swelling. An abdominal computed tomography scan showed a subcutaneous gallstone and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration.

Spontaneous cholecystocutaneous fistula by gallstone erosion into abdominal wall

ANZ Journal of SurgeryVolume 84, Issue 11 p. 888-889 IMAGES FOR SURGEONS Spontaneous cholecystocutaneous fistula by gallstone erosion into abdominal wall Margaret Kim MBBS, Margaret Kim MBBS Upper Gastro-Intestinal and Hepato-Biliary Unit, The Canberra Hospital, Canberra, Australian Capital Territory, AustraliaSearch for more papers by this authorEdwin Beenen MD, Edwin Beenen MD Upper Gastro-Intestinal and Hepato-Biliary Unit, The Canberra Hospital, Canberra, Australian Capital Territory, AustraliaSearch for more papers by this authorJames Fergusson FRACS, James Fergusson FRACS Upper Gastro-Intestinal and Hepato-Biliary Unit, The Canberra Hospital, Canberra, Australian Capital Territory, AustraliaSearch for more papers by this author Margaret Kim MBBS, Margaret Kim MBBS Upper Gastro-Intestinal and Hepato-Biliary Unit, The Canberra Hospital, Canberra, Australian Capital Territory, AustraliaSearch for more papers by this authorEdwin Beenen MD, Edwin Beenen MD Upper Gastro-Intestinal and Hepato-Biliary Unit, The Canberra Hospital, Canberra, Australian Capital Territory, AustraliaSearch for more papers by this authorJames Fergusson FRACS, James Fergusson FRACS Upper Gastro-Intestinal and Hepato-Biliary Unit, The Canberra Hospital, Canberra, Australian Capital Territory, AustraliaSearch for more papers by this author First published: 31 October 2013 https://doi.org/10.1111/ans.12359Citations: 2Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article.Citing Literature Volume84, Issue11November 2014Pages 888-889 RelatedInformation

Spontaneous Cholecystocutaneous Fistula—Not an Old Time Story

Cases of spontaneous cholecystocutaneous fistula continue to attend surgical outpatient department in-spite of tremendous improvement in early diagnosis and treatment of gallbladder disease. It occurs as a complication of acute suppurative cholecystitis or neglected chronic cholecystitis due to cholelithiasis. We report two cases of spontaneous cholecystocutaneous fistula due to chronic cholecystitis with review of literature.

Spontaneous Cholecystocutaneous Fistula in a Dog

The purpose of this case report was to describe the surgical correction of a cholecystocutaneous fistula in a dog. A 6 yr old Vizsla presented with a 2 mo history of a chronic draining wound on the right ventral thorax. Diagnostics revealed numerous fistulous tracts opening at a single site on the right ventrolateral chest wall, extending caudodorsally through the chest wall and diaphragm to the region of the right medial liver lobe. Exploratory laparotomy revealed the apex of the gallbladder adhered to the diaphragm with a tract of fibrous tissue extending along the diaphragm laterally to the right thoracic wall. Cholecystectomy was performed. The fistulous tract was incised to expose the lumen of the fistula, and the fistula was omentalized. Twenty-eight months after surgery, the dog had had no recurrence of the fistulous tract. Exploratory laparotomy allowed excellent visualization of the intra-abdominal path of the fistula and facilitated the ease of resection of the source. Cholecystectomy resulted in rapid and complete resolution of the fistula without the need for excision of the fistula. Although rare, gallbladder disease should be a differential for chronic fistulous tracts.

Spontaneous cholecystocutaneous fistula as a rare complication of gallstones

Spontaneous perforation of gallbladder as a complication of biliary stones may lead to a cholecystocutaneous abscess or fistula. The pathophysiology of this condition has been associated with increased pressure in the gallbladder, secondary to biliary obstruction. Ultrasonography and Computed Tomography (CT) can be used for diagnosis of cholecystocutaneous abscess or fistula. The treatment of fistula requires adequate drainage, antibiotics, followed by elective cholecystectomy with excision of the fistula. We report a case of spontaneous cholecystocutaneous fistula in an 89-year-old female patient who presented with obstructive jaundice and subcutaneous abscess in the right subcostal area. Abdominal CT scan showed gallstones and communication between the abscess and the gallbladder. First abdominal wall abscess was drained externally then cholecystectomy and exploration of common bile duct was performed (Fig. 3, Ref. 8).

Spontaneous Cholecystocutaneous Fistula Managed with Percutaneous Transhepatic Gallbladder Drainage

Spontaneous Cholecystocutaneous Fistula Managed with Percutaneous Transhepatic Gallbladder Drainage

Spontaneous Cholecysto-Cutaneous Fistula Complicating Carcinoma of the Gall Bladder: A Case Report

Most cholecystocutaneous fistulas are postoperative complications of liver and biliary tract surgery or trauma. External biliary fistulas rarely occur spontaneously as a result of intrahepatic abscess (pyogenic or parasitic), necrosis or perforation of the gallbladder, or other inflammatory process involving the biliary tree. A cholecystocutaneous fistula as a presentation of an underlying cancer arising from the gall bladder is an extremely uncommon finding. Over the past 50years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature but so far there has been no published report of a cholecystocutaneous fistula arising from adenocarcinoma of gall bladder. We here report a case of a patient presenting with spontaneous cholecystocutaneous fistula from cancer of gall bladder.

Spontaneous cholecystocutaneous fistula: a rare presentation of gallstones.

Spontaneous cholecystocutaneous fistula, one of the rarest complications of acute cholecystitis, has been reported in fewer than 25 cases over the past 50 years. Not only is this case rare but interestingly the patient experienced no pain or symptoms consistent with gallbladder pathology leading up to her hospitalisation. Furthermore, laboratory studies, microbiology and computed tomography scanning did not establish a diagnosis until the fistula passed calculi.An 85-year-old lady with multiple co-morbidities presented to the Emergency Department with an erythematous soft and non-tender mass in her right flank. The mass had spontaneously ruptured and was discharging a serous-like material. Prior to further investigation a working diagnosis of an eroding/fungating caecal tumour was made. The lesion continued to discharge over a 3 month period which heralded the passage of 11 small, brown calculi thought to be gallstones. At this point spontaneous cholecystocutaneous fistula was diagnosed and was later confirmed by magnetic resonance imaging cholangiopancreatography.